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Nursing Interventions II: Selecting and Classifying the Nursing Interventions

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Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...

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Updated: Jul 1, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Published on: August 25, 2014

Developing nursing interventions in Paediatric Emergence Delirium: a scoping review.

M Earwaker¹, N Anderson¹, V Egli¹

¹The School of Nursing, Faculty of Medical and Health Sciences the University of Auckland, Aotearoa New Zealand.

Contemporary Nurse

|March 1, 2024

Summary

Emergence Delirium in children, a post-anaesthetic complication, increases risks of injury and prolonged hospital stays. Key nursing interventions focus on child anxiety, post-operative care, continuity, and medication management to minimize these effects.

Keywords:

child emergence agitation emergence delirium nursing paediatric agitation paediatric anaesthesia

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Published on: August 19, 2020

Area of Science:

Pediatric Anesthesiology
Nursing Practice
Child Psychology

Background:

Emergence Delirium (ED) in children post-anaesthesia is linked to significant risks including injury, surgical site harm, delayed discharge, and extended hospital stays.
ED can also lead to emotional and behavioral issues in children weeks after surgery, necessitating careful nursing management.
While many factors are suspected, their impact on ED and implications for nursing practice require thorough investigation.

Purpose of the Study:

To conduct a scoping review of Emergence Delirium in pediatric patients.
To critically synthesize evidence on factors influencing ED in children.
To inform the development of nursing interventions for preventing or minimizing pediatric ED.

Main Methods:

A scoping review guided by the PRISMA checklist.
Inclusion of 14 peer-reviewed studies and guidelines published between 2000 and 2020.
Deductive thematic analysis of selected literature focusing on ED and nursing practice.

Main Results:

Child anxiety emerged as a significant factor in managing Emergence Delirium.
The post-operative phase and continuity of care were identified as crucial themes in nursing management.
Medication administration practices were also highlighted as key to managing ED in children.

Conclusions:

Nursing management of pediatric Emergence Delirium should prioritize addressing child anxiety and ensuring seamless post-operative care.
Further research is needed to explore nurse-led interventions for ED in diverse hospital settings.
Investigating ED across different healthcare systems can refine prevention and management strategies.